1) complete the template (Follow the 3 x 3 rule: minimum three paragraphs per part)

             Part 1: Minimum Complete the template

            

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

__________________________________________________________________________________

Part 1: Curriculum Design and Simulation  (Check Sample, sample  1 and 2)

SIM Scenario 

Topic: Unplanned endotracheal tube dislodgement in the ICU in a respiratory failure patient

 Target Audience: Nurses for airway emergencies

With the massive surge of patients requiring intubation and mechanical ventilation that is occurring with this COVID-19 pandemic, statistically we should also expect an increase in number of incidents of UE. According to the Center for Disease Control (CDC, 2020), 60%–75% of COVID-19 patients admitted to the ICU present with ARDS or respiratory failure, and it is likely that these patients required intubation, so, is important to prepare bedside nurses for airway emergencies.

Reference

CDC. (2020). Characteristics of Hospitalized COVID-19 Patients Discharged and Experiencing Same-Hospital Readmission – United States, March–August 2020. Retrieved January 25, 2021, from https://www.cdc.gov/mmwr/volumes/69/wr/mm6945e2.

This week, submit your SIM scenario. 

The purpose of this assignment is to plan and develop a valid 15- to 20-minute simulation scenario based on current evidence and integrating effective teaching strategies based on instructional and learning assessment methodologies. 

It is highly recommended that you follow the simulation template attached 

The following criteria must be incorporated into the simulation scenario and are included in the attached template (File 1):

SIM Scenario 

Topic: Unplanned endotracheal tube dislodgement in the ICU in a respiratory failure patient

Target Audience: Nurses for airway emergencies

Title

1. SIM patient details

2. Estimated scenario time

3. Estimated debriefing time

4. Several paragraphs that summarize the scenario

5. Educational rationale

7. Learning objectives and the scenario focused objectives

8. A list of the standards of nursing care that the simulation focuses on; you can use the NCLEX chart in your text, or national nursing standards such as BSN or MSN essentials. 

9. A list needed supplies and equipment

10. A description of the environment and the prior learning/skills needed

11. A list and description of the number of students involved, their roles, and the instructor role

A list of the patient’s vital signs, cues, prompts, and details of the scenarios

11. The expected student interventions and the correct treatment using a SIM progression outline

12. Several guiding questions for the student during debrief

13. The story must be believable and  must represent a realistic patient experience. The physiological changes in the patient must be authentic.  Nursing interventions must be realistic and within the scope of practice, and represent best practices and standards of care.  Family members’ reactions and behaviors must be represented in a realistic manner in response to the patient’s condition.

 

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is “running away.”
4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

1. Height 175 cm; Weight 95.5kg.
2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)
5. Inhaled short-acting bronchodilator (ProAir HFA)
6. Inhaled corticosteroid (Flovent HFA)
7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

1. Describe the clinical manifestations present in Mrs. J.
2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice

  

1. Choose a nurse leader who holds a leadership nursing position in their organization who have direct reports (they supervise other employees). Examples of this include Director of Nursing, Director, Unit Manager. *You may not be employed in the same facility as your interviewee or shadow during personal work hours* (If special accommodations need to be made, approval by your instructor is required first). 

2. Develop an interview guide before conducting the interview. Identify information that you want to know before the interview and plan clarifying questions. You must include at least one question about technology/informatics.

3. Conduct an interview regarding their professional role in the organization, and a current health care issue that is of interest to you (ethics, conflict management, budget, staffing, culture of safety, “just culture”, career advancement, quality improvement, etc.). Identify the name of the organization and use names of all involved (no anonymity).

4. Prepare a written report of the interview.

Sample questions below. Feel free to vary the content of the questions to fit your interview:

• Please describe the nursing and inter-professional      teams that operate in this facility/on this unit.
• Can you provide an example of a nursing practice that      has been changed in the last year based on current best evidence?
• What do you consider your biggest challenge?
• What do you love most about your job?
• Why did you choose this job?
• What other kinds of nursing/other job did you ever do?
• How would you describe your company’s culture?
• How would you describe your role in admission and      staffing decisions?
• What is your leadership style?  

* If you are employed in a large healthcare facility that has more than one location, you may interview the nurse leader in that organization with prior permission from your instructor. The purpose of this is to get you out of your organization and explore other nursing leadership roles than you might be familiar with.

Assignment Expectations:

Length: 1500 to 1750 words in length; Upload log Separately 

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. Your essay should have at least two scholarly references in addition to the textbook. Please be sure to cite the interview in APA format.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Critique quality of the literature reviews conducted for two different types of studies- a quantitative and qualitative research.

Identify and discuss the research questions, sampling and sampling sizes, research designs (qualitative vs. quantitative), hypothesis, data collection methods, and research findings.

Discuss the credibility of the sources and the research/researchers findings.

400-word minimum/550-word maximum without the references.

Minimum of 3 references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years

Note : please this is going to be using Turnitin